Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexa Rae Kulick

Individual provider Physician Assistant · NPI 1518625987

Alexa Rae Kulick is a Physician Assistant in Fairfax, Virginia. Qualified in 2021, 5 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
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Practice location Address checks out

3903 Fair Ridge Dr Ste 218
Fairfax, VA 22033-2945
Phone: (703) 405-7292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2671 Avenir Pl Apt 2132, Vienna, VA 22180-7487 — (703) 870-3750

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110008424 (VA)

Record details

NPI number1518625987
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 2, 2021
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023
Mailing address3903 Fair Ridge Dr Ste 218, Fairfax, VA 22033-2945

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fairfax